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FEEDING THROUGH THE MIC-KEY
PROPER PLACEMENT
Before feeding, check the MIC-KEY* SF Feeding Tube to be sure that
it is not clogged or displaced outside the stomach. To do this:
1. Connect the MIC-KEY* SF Extension Set to the MIC-KEY* SF
Feeding Tube and confirm Secure Flow Connector is fully seated
on the Feed Port.
2. Attach a Catheter Tip Syringe containing 10 ml
of water to the Extension Set's Feeding Access
Port. (See
1
) Pull back on the plunger and look
for stomach contents in the extension set tubing.
(See
2
)
3. When you see stomach contents in the tubing,
flush the MIC-KEY* SF
Feeding Tube with the
water in the syringe.
Stomach contents are
normally yellow or
clear unless there is
food in the stomach.
(See
3
)
4. If you feel resistance
as you inject the water,
pull back stomach
contents again, then
1
try to re-inject the
water.
5. Check for leaking
around the stoma.
(See
4
)
ANOTHER METHOD IS TO:
1. Draw 5 to 10 ml of air into a Catheter Tip Syringe.
2. Place a stethoscope on the left side of the abdomen just above the waist.
3. Inject the air into the Extension Set's Feeding/Medication Access Port and listen for the stomach
to "growl. "
4. If you do not hear the "growl" repeat Step 3. After the second attempt if there is no "growl"
heard, contact your Medical Professional. REPORT THE PROBLEM. DO NOT PROCEED TO FEED.
10
*
SF FEEDING TUBE
3
Large
Syringe
2
4
10 ml
FEEDING THROUGH THE MIC-KEY
RESIDUAL:
Another advantage of the MIC-KEY* SF Feeding Tube is the ability to measure stomach residual
without a decompression tube. Residual is the amount of gastric fluid and formula left in the
stomach four hours after feeding. The stomach may not always empty completely. The amount
of residual varies and may depend upon your activity or position. Check for residual if the formula
backs up into the extension tubing or if you feel nauseated.
TO CHECK THE RESIDUAL:
1. With a Bolus Feed Extension Set connected to the Feed Port, connect a Catheter Tip Syringe to
the Extension Set Feeding/Medication Access Port. Secure the connection with a firm push and a
1/4 turn twist.
2. Slowly pull the end of the syringe to aspirate or remove excess gas from the stomach.
3. If formula is also removed, carefully measure the amount of formula in the syringe and place it in
a cup.
4. If the syringe is full and there appears to be more formula, reinsert the syringe and extract the
remaining fluid. Measure the amount and place it in a cup.
5. Generally, replace the residual back into the stomach. It contains important electrolytes and
nutrients.
TO REPLACE THE RESIDUAL:
1. Slowly place the syringe in the cup with the extracted stomach contents.
2. Pull the plunger on the syringe to fill the syringe.
3. With a Bolus Feed Extension Set connected to the Feed Port, connect the Catheter Tip Syringe to
the Extension Set Feeding/Medication Access Port and slowly push the plunger to allow formula
to flow back into the stomach.
4. Check the residual again in 30 minutes and resume the feeding if the amount is less than you
obtained at the first check.
DECOMPRESSION OR VENTING
Your Medical Professional may instruct you to decompress (release air or food from the stomach)
before or after feedings. This decompression helps to decrease discomfort by relieving pressure in
the stomach.
To decompress the stomach with FARRELL* Valve:
1. Hang FARRELL* Bag (See
5
) at the same height as the feeding bag/container.
2. Attach enteral administration set connector to "Y" Port on FARRELL* Tubing.
3. Prime enteral administration set and FARRELL* Valve Tubing as outlined in
the Instructions for Use (IFU).
4. Attach FARRELL* Valve Connector to Feeding/Medication Port.
5. Open the BLUE clamp to establish flow, then open the WHITE clamp.
Note: a. Important: Position the FARRELL* "Y" Port at or below the patient's
umbilicus.
b. Review the (IFU) for detailed instructions on how to use the
FARRELL* Valve.
SF FEEDING TUBE
*
5
11
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